SHACONYA L RICHARDSON - NPI 1548916810 - Nurse Practitioner in Louisville, KY

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.

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About Shaconya L Richardson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHACONYA L RICHARDSON (NPI 1548916810) is a healthcare organization registered as a psychiatric/mental health in Louisville, Kentucky and active in the NPI registry since February 2022. The organization lists Steven C Mitchell, Credentialing Agent, as its authorized official.

NPPES Registry Identity

NPI1548916810

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameSHACONYA L RICHARDSON

Location Address714 LYNDON LN STE 6Louisville, KY 40222-4643

Mailing Address6007 Count Turf DrLouisville, KY 40272-3549 · (502) 243-5565

Phone(502) 225-4900

Organization SubpartNo

Authorized OfficialSteven C MitchellCredentialing Agent · (502) 654-3927

Enumeration DateFebruary 25, 2022

NPPES CertifiedFebruary 25, 2022

✔ NPI 1548916810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

714 LYNDON LN STE 6, Louisville, KY 40222

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP